Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,025.60 / $16,595.87	Facility		$1,584.89	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $213.80 / $616.60	Professional		$100.00	$213.80	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $229.09 / $416.87	Professional		$117.49	$229.09	$416.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,548.82 / $6,309.57	Facility		$66.07	$1,548.82	$6,309.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $263.03 / $501.19	Professional		$120.23	$263.03	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,659.59 / $3,548.13	Facility		$398.11	$1,659.59	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $213.80 / $398.11	Professional		$112.20	$213.80	$398.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $407.38	Professional		$100.00	$131.83	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $234.42 / $467.74	Professional		$97.72	$234.42	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $19,498.45 / $19,498.45	Facility		$7,943.28	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $1,862.09	Professional		$1,548.82	$1,862.09	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $309.03	Professional		$186.21	$186.21	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $218.78 / $407.38	Facility		$109.65	$218.78	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $457.09	Professional		$109.65	$223.87	$457.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $660.69	Professional		$338.84	$338.84	$660.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $269.15	Professional		$100.00	$165.96	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,244.36 / $15,135.61	Facility		$3,090.30	$7,244.36	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $338.84	Professional		$93.33	$177.83	$338.84